Jennifer Mcmillan, | |
6795 N Mineral Drive, Hayden, ID 83835-0000 | |
(208) 769-4222 | |
Not Available |
Full Name | Jennifer Mcmillan |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 6795 N Mineral Drive, Hayden, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770249500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-41409 (Idaho) | Primary |
Entity Name | Dirne Health Centers, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285686477 PECOS PAC ID: 2466353354 Enrollment ID: O20050303001041 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Mcmillan, Po Box 1387, Hayden, ID 83835-1387 Ph: (208) 415-0299 | Jennifer Mcmillan, 6795 N Mineral Drive, Hayden, ID 83835-0000 Ph: (208) 769-4222 |
Dr. Kateri Picard Ray, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1302 W Starling Ave, Hayden, ID 83835 Phone: 208-640-8814 | |
Nicole Joy Vatterrodt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13403 N Government Way Ste 319, Hayden, ID 83835 Phone: 480-980-5703 | |
Sarah E Hlebichuk, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 21 W Commerce Dr Ste F, Hayden, ID 83835 Phone: 208-704-0046 | |
Cristy Kay, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9494 N Government Way # 202, Hayden, ID 83835 Phone: 208-315-9321 | |
Ms. Terri Lynn Sudol, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10615 N Government Way Ste 206, Hayden, ID 83835 Phone: 208-755-5188 Fax: 208-772-2533 | |
Mrs. Lindsey Nichole Petrick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13403 N Government Way Ste 319, Hayden, ID 83835 Phone: 208-755-1641 | |
Jennifer Rian Tuttle, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9705 N Shaw St, Hayden, ID 83835 Phone: 208-625-9981 |